Individual
LISA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
582 HAWTHORNE HTS, LAWRENCEBURG, IN 47025-7956
(513) 304-4405
Mailing address
582 HAWTHORNE HTS, LAWRENCEBURG, IN 47025-7956
(513) 304-4405
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.154962.MEDS-IV
OH
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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